Analysis of risk factors and outcome in the management of Enterocutaneous Fistulae
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 4
Abstract
Abstract: Enterocutaneous fistulas remain one of the most serious complications of abdominal surgery as they comprise a diverse array of intestinal pathology and presents with a variety of clinical presentation. Despite of highly specific management plan that has been over the past 25 years, the mortality of ECF is still 15-20%.The contrasting results of treatment of patients with post-operative fistula reflect the heterogenicity of disease and depend on patients’ condition and the characteristics of the fistulae.The aim of the study is comprehensive analysis of etiology, potential risk factors that lead to enterocutaneous fistulas, complications and to study outcome of management. 30 patients of all age groups presenting with enterocutaneous fistulae were admitted in Basaveshwar teaching and general hospital, attached to M R medical college, Kalaburagi and managed between December 2013 to November 2015. Out of 30 cases, 23 were males and 7 were females, a detailed examination was done as per proforma after admission. All the patients were appropriately investigated. Mean age of patients was 38.3 years. Incidences of fistulae were more common in males (76.67%) than females (23.33%). Duodenal perforation operation was the most common cause. Patients were treated conservatively and surgically. 6 patients were given enteral nutrition, all were recovered. 20 patients were given TPN, of which 3 expired. 4 (13.33%) patients underwent reoperations, out of which 1 patient expired. Overall mortality rate was 13.33%. Keywords: Enterocutaneous fistulae, enteral nutrition, Total parenteral nutrition(TPN)
Authors and Affiliations
Dr. V. S. Kappikeri, Dr. Syed Nadeem Ahmed, Dr. Akshay Mahesh Kriplani
Keywords
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